Centerville Medical Center
NPI #1205187325 in West Jordan, Utah
Provider Information
- NPI Number
- 1205187325
- Entity Type
- Organization
- Organization Name
- Centerville Medical Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTERVILLE MEDICAL CENTER
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Sep 28, 2012
- Last Updated
- Feb 27, 2014
Practice Location
- Address
- 6783 S REDWOOD RD
- Address 2
- SUITE 104
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-5677
- Phone
- (801) 268-2929
Authorized Official
- Name
- DR. ROBERT E PARK, D.C.
- Title
- CEO
- Phone
- (801) 298-7330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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